Shoulder trauma

Very low urgency
--

Injury to the shoulder as a result of an external force or energy.

The most common causes are a fall, an accident or a blow from a blunt object.

It presents with pain, inflammation and a haematoma in the area of trauma.

Diagnosis is made clinically, with a history and physical examination. In most cases, the diagnosis is completed with an imaging test to rule out underlying bone lesions: radiography and/or MRI.

Treatment is based on pain relief and reduction of inflammation with analgesics and anti-inflammatory drugs. Immediately after the trauma, application of local indirect cooling can prevent haematoma growth and inflammation. In the following days, application of heat can reduce muscle pain, as can rest and immobilisation of the arm.

Bibliographic references
  1. N. Kulund D. Lesiones del deportista. Hombro. Salvat S.A. 249-282.
  2. F. Salinas, L.H. Lugo, R. Restrepo. Rehabilitación en salud. Editorial Universidad de Antioquía. Segunda edición. (1): 75-82.
  3. C. E. Ugalde, D. Z. Monge, R. Barrantes. Actualización del síndrome de hombro doloroso: lesiones del manguito rotador. Med Leg Costa Rica. 2013;30(1):63-71.
  4. UpToDate [Internet]. Waltham. 2017. Evaluation of the patient with shoulder complaints; [citado el 21 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/evaluation-of-the-patient-with-shoulder-complaints?source=search_result&search=traumatismo+hombro&selectedTitle=1~150
Copyright
© TeckelMedical 2026

Symptoms

    Shoulder pain


    Painful right shoulder


    Bruising around the injury


    Soreness in the front and side of the shoulder


    Shoulder pain when leaning on it at rest

Symptoms to watch out for

Pain that doesn't subside with analgesics
The bruise doesn't disappear and/or worsens after a week
Inability to move the extremity

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Avoid doing abrupt movements.